Gerald Robert Deyoung

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

5302027249 Issued in MI

Practice address

200 Jefferson Ave SE
Advantage Health Physicians and St. Mary'S Health Care
Grand Rapids, MI 49503-4502

Phone

(616) 752-6410

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bob Deyoung Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902806755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE SE",
            "address_2": "ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-752-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON AVE SE",
            "address_2": "ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034502",
            "telephone_number": "616-752-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "GERALD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302027249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "DEYOUNG",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deacon Ezekiel Dey
• Rebecca Lyn Deyo, DC
• Amy Kay Deyoung, DDS, MS
• Christine M Deyoung, COTA/L
• Cindy Deyoung, M.A. CCC-SLP
• Kelli Deyoung, R.PH
• Kiri Deyoung
• Latisha Lynne Deyoung, NP
• Mariah Lynn Deyoung, LMSW
• Rhonda Ann Deyoung, NP

• Pharmacotherapy Pharmacist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacotherapy Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.